| NPI | 1134898117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH LICDC.162339) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.181870) |
| 101YM0800X Counselor Mental Health (Licence: OH C.2204582) | |
| 101YM0800X Counselor Mental Health (Licence: OH C.2103320-TRNE) | |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2023-10-30 |